Medical Records
To request MEDICAL RECORDS from current MetalQuest Trusteeships, please click on the appropriate organization link listed below to obtain the applicable Release of Information Authorization Form
Please follow all instructions when completing the Release of Information Authorization Form(s). Failure to provide complete information, sign the form, or provide the required identification may result in delay or denial of your records request.
Healthcare Organizations by State
California
Golden Shore Medical Group, Long Beach, CASan Diego Hospice, San Diego, CA
Simi Surgery Center, Inc., Simi Valley, CA
Indiana
Fayette Memorial Hospital Association, Inc., Connersville, INKentuckiana Medical Center, LLC, Clarksville, IN
Kansas
Blue Valley Hospital, Overland Park, KSMissouri
Pinnacle Healthcare System, Inc., Boonville, MONew York
Caritas Healthcare, Elmhurst and Jamacia, NYCenter for Specialty Care, Inc., New York, NY
Federation Employment and Guidance Service - ENGLISH ("FEGS"), NY, NY - Client Records
Federation Employment and Guidance Service - RUSSIAN ("FEGS"), NY, NY - Client Records
Federation Employment and Guidance Service - SPANISH ("FEGS"), NY, NY - Client Records
Mary Immaculate Hospital, Jamacia, NY
Mount Vernon Hospital, Mt Vernon, NY
OXYGYM - Ultimate Health Outcomes, Inc., New Hyde Park, NY
Saint John’s Queens Hospital, Elmhurst, NY
Saint Vincent Catholic Medical Center, New York, NY
Sound Shore Medical Center, New Rochelle, NY
Ultimate Health Sleep Disorders Center - Ultimate Health Outcomes, Inc., New Hyde Park, NY
Ohio
Albert T. Domingo M.S., M.D. Inc., Canton, OHDeaconess Health Association, Cincinnati, OH
Oklahoma
Drumright Regional Hospital, Drumright, OKPauls Valley General Hospital, Pauls Valley, OK
Pennsylvania
Campus Eye Center, LTD, Lancaster, PATexas
Aesthetic Plastic Surgery Center, LP, Houston, TXBay Area Regional Medical Center, Webster, TX
Bells-Savoy Community Emergency Services, Inc., Bells, TX
Christus Santa Rosa Surgical Center, San Antonio, TX
Houston Town and Country Hospital, Houston, TX
Little River Healthcare, Cameron and Rockdale, TX
Vermont
Greater Falls Pharmacy, Bellows Falls, VTVirginia
Health Diagnostic Laboratory, Inc., Richmond, VAPulmonary Medicine of Virginia, Christiansburg, VA